Marilyn Carmela Ketchum, RN, CANP
Registered Nurse, General Practice in Lansing, MI. Individual provider (NPI-1).
NPI number1629390810
StatusActive
Last updated in NPPESFeb 16, 2010
Details
- NPI
- 1629390810
- Entity type
- Individual (NPI-1)
- Name
- Ms. Marilyn Carmela Ketchum
- Credential
- RN, CANP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 16, 2010
- Last updated
- Feb 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 4704149979 | MI | Yes |
Practice location
2310 E Michigan AveLansing, MI 48912-4018
Phone 517-346-7628 · Fax 517-346-7629
Mailing address
2310 E Michigan AveLansing, MI 48912-4018
Phone 517-346-7628 · Fax 517-346-7629
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